Patient's question:
A 49-year-old man has noticed in the past two years that his sexual performance seems to be declining. Specifically, he often reaches orgasm prematurely right at the beginning of sexual activity. He is asking: What are the possible causes of premature ejaculation in men?Doctor's answer:
Here is the English translation of the provided text, with line breaks preserved as instructed:The reasons for premature ejaculation include several factors. For example, psychological issues in men, such as work-related stress, prolonged anxiety, or dissatisfaction with sexual life, can contribute to it. Additionally, a lack of knowledge about sexual health may lead to premature ejaculation, as frequent masturbation can cause this condition. Moreover, certain physical diseases, especially prostate and urinary tract disorders, or cardiovascular conditions, may also result in premature ejaculation. Once premature ejaculation occurs, it can be very difficult to treat. It is recommended that men take proactive measures to prevent it in their daily lives.